Journal of International College of Dentists

Page: 4-7

Every year, around 50-200 million children (0-19 years) worldwide are diagnosed with cancer. Efficient and successful patient support and assistance systems and the deterrence of complications significantly improve survival rates and limit long-term relapses. Orthodontic treatment of children who have suffered or are currently enduring cancer treatment is challenging for the Orthodontist and the family members. There are various oncological therapies. These include radio and chemotherapy, bone transplants. These modalities have helped increase the number of paediatric cancer survivors exponentially. But there is an ardent necessity of long term follow up, both in terms of medical and dental. The treatment timing and the nature of cancer dictate Orthodontic management in children with cancer. The children undergoing chemotherapy or radiotherapy must be dealt with cautiously and with the utmost care during the Orthodontic treatment. Various features like gingivitis, mucositis, xerostomia are typically seen in cancer survivors. These conditions affect the duration of the orthodontic treatment and adversely pose a threat to oral hygiene maintenance. Here, in this article, we provide our perspective on different Orthodontic considerations while dealing with pediatric patients who have already overcome cancer. Cancer therapy critically affects oral and dental health and demands conventional Orthodontic care alterations. This article also provides specific recommendations based on the prevailing practice and existing literature to help Orthodontists modify their treatment modality for pediatric cancer survivors.